Active NPI
Community Medical Care Center
- Adult Day Care Clinic/Center
- Immokalee, FL
National Provider Identifier
1477858751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ACN248
- Legal business name
- COMMUNITY MEDICAL CARE CENTER
- Practice address
- 214 S 1St St
Immokalee, FL 34142-3904 - Phone
- (239) 657-5800
- Fax
- (239) 657-9600
- NPI assigned
- Jan 18, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Antonio Gonzalez
- Title
- MD
- Phone
- (239) 657-5800
National Provider Directory
National Provider DirectoryLocations
214 S 1st St
Unit C
Immokalee, FL 34142
Phone (239) 657-5800
214 S 1st St
Immokalee, FL 34142
Phone (239) 657-5800
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | ACN248 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
214 S 1St St
Immokalee, FL 34142-3904
Mailing address
214 S 1St St
Immokalee, FL 34142-3904
Phone (239) 657-5800
Other names 1
NPPES NPI Registry- N/A
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2011.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295308800000",
"number": "1477858751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S 1ST ST",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341423904",
"telephone_number": "239-657-5800",
"fax_number": "239-657-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S 1ST ST",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341423904",
"telephone_number": "239-657-5800",
"fax_number": "239-657-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "239-657-5800",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "FL",
"license": "ACN248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "N/A",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Immokalee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.